We capped our quota at 1815. I wrote my two H&P's - one on the computer, one on paper; they don't matter since the residents have to write their own and all - and had dinner, hung out, installed BitchX (well, unzipped BitchX) and discovered I don't know how to use it at all. But I did manage to connect the right username to the right server to the right channel and can talk with Angel that way.
Wow...Tranquillity will soon have me right back to command-line everything, because of this bloody evil internet access. Thank havens PuTTY works so well.
Ran out suddenly when they called a code 99 on 3N. That's a Code Blue, for those who know that terminology - cardiac arrest. And it's on 3N, the pediatrics floor, the worst place to have a code. There's no equipment there; I know - I worked up there.
Encountered Jenny on the way out. False alarm. Thank God.
S has a run of dying patients - three have died or are dying, including the lady with the stroke who is now back on our service. She's passing large amounts of blood, she's always been anemic, she's now a complete DNR who wants nothing done, not even maybe blood pressure support, and she's going down the tubes. She's quickly approaching the point where we refer to patients as trying to die.
And then there's the man on the vent who we know has previously said he doesn't want anything done. His family wants everything done. We're going to have to unsedate him and extubate him, most likely, just to find out that he doesn't want us to put the tube back down again. Why did we put it down in the first place? No DNI order from this admission. No living will. No advance directives. These things are important, O Best Beloved.
And S got my mail and signed my note, and it's 11 PM and I've been holed up up here for the last many hours, while the others on the team were watching the IU game. But I got to talk to my Angel, and I have the same relatively comfy call room I've had the last few calls, and in the morning I will be able to finish my MEDLINE search about pancreatic diagnostic tests.
Lindy is an angel, I am firmly convinced of it. She has her moments, but there's something wonderful about her, and she's always there when I'm beginning to panic. Thanks to Lindy, I have copies of the packets I'd lost from orientation (where is all my orientation stuff? It's all gone missing) so I can really be semi-prepared for conference on Friday. I just have to type up the H&P that I've sketched out already. It shouldn't be hard.
It's time for bed, I think. Goodnight, O Best Beloved.